Provider First Line Business Practice Location Address:
60 SUNSET LAKE ROAD
Provider Second Line Business Practice Location Address:
SULLIVAN COUNTY ADULT CARE CENTER
Provider Business Practice Location Address City Name:
LIBERTY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12754-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-292-8640
Provider Business Practice Location Address Fax Number:
845-292-8235
Provider Enumeration Date:
05/14/2008